Short and long-term outcomes of underwater EMR compared to the traditional procedure in the real clinical practice
Rev. esp. enferm. dig
; 111(7): 543-549, jul. 2019. tab, graf
Artigo
em Inglês
| IBECS
| ID: ibc-190101
Biblioteca responsável:
ES1.1
Localização: BNCS
ABSTRACT
Background and aims:
underwater endoscopic mucosal resection (U-EMR) has been recently described as an alternative to endoscopic mucosal resection (EMR) for flat colorectal polyps. However, the real applications remain unclear due to the lack of comparative studies.Methods:
a multi-centric prospective study was performed from November 2016 to December 2017. All lesions larger than 15 mm that were resected with both techniques were included in the study. The samples were matched using the size, morphology, site and access (SMSA) score as a reference. The efficacy, efficiency and adverse events rates were compared.Results:
a total of 162 resections were collected (112 EMR and 50 U-EMR) with an average size of 25 mm. U-EMR achieved better results for the en bloc resection rate (49 vs 62%; p = 0.08) and there were no cases of an incomplete resection (10.7 vs 0%; p = 0.01). U-EMR was faster than EMR and there were no differences in the adverse events rate. Furthermore, U-EMR tended to achieve better results in terms of recurrence. Performing the resection in emersion appeared to prevent the cautery artefact, especially in sessile serrated adenomas.Conclusion:
in the real clinical practice, U-EMR and EMR are equivalent in terms of efficacy and safety. Furthermore, U-EMR may be a feasible approach to prevent cautery artefact, allowing an accurate pathologic assessmentRESUMEN
No disponible
Buscar no Google
Coleções:
Bases de dados nacionais
/
Espanha
Base de dados:
IBECS
Assunto principal:
Neoplasias Colorretais
/
Colonoscopia
/
Ressecção Endoscópica de Mucosa
Limite:
Idoso
/
Feminino
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Rev. esp. enferm. dig
Ano de publicação:
2019
Tipo de documento:
Artigo
Instituição/País de afiliação:
Hospital Clínico de Barcelona/Spain
/
Hospital General Universitario de Ciudad Real/Spain
/
Hospital Universitario Josep Trueta/Spain
/
Hospital Universitario de Ciudad Real/Spain
/
Hospital Universitario de Navarra/Spain